ST elevation myocardial infarction cardiac rehabilitation

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The importance of reducing Door-to-Balloon times
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Pre-Discharge Care

Recommendations for Perioperative Management–Timing of Elective Noncardiac Surgery in Patients Treated With PCI and DAPT

Post Hospitalization Plan of Care

Long-Term Medical Therapy and Secondary Prevention

Overview
Inhibition of the Renin-Angiotensin-Aldosterone System
Cardiac Rehabilitation
Pacemaker Implantation
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction (DO NOT EDIT) [1][2]

Class I
"1. Cardiac rehabilitation/secondary prevention programs, when available, are recommended for patients with STEMI, particularly those with multiple modifiable risk factors and/or those moderate- to high-risk patients in whom supervised exercise training is warranted. (Level of Evidence: B)"
"2. For all patients, it is recommended that risk be assessed with a physical activity history and/or an exercise test to guide prescription. (Level of Evidence: B)"
"3. For all patients, encouraging 30 to 60 minutes of moderate-intensity aerobic activity is recommended, such as brisk walking on most preferably all days of the week, supplemented by an increase in daily lifestyle activities (e.g., walking breaks at work, gardening, and household work). (Level of Evidence: B)"
Class IIb
"1. Encouraging resistance training 2 days per week may be reasonable. (Level of Evidence: C)"

2013 Revised ACCF/AHA Guidelines for the Management of ST-Elevation Myocardial Infarction (DO NOT EDIT)[3]

Posthospitalization Plan of Care (DO NOT EDIT)[3]

Class I
"1. Posthospital systems of care designed to prevent hospital readmissions should be used to facilitate the transition to effective, coordinated outpatient care for all patients with STEMI.[4][5][6][7][8](Level of Evidence: B)"
"2. Exercise-based cardiac rehabilitation/secondary prevention programs are recommended for patients with STEMI.[9][10][11][12](Level of Evidence: B)"
"3. A clear, detailed, and evidence-based plan of care that promotes medication adherence, timely follow-up with the healthcare team, appropriate dietary and physical activities, and compliance with interventions for secondary prevention should be provided to patients with STEMI.(Level of Evidence: C)"
"4. Encouragement and advice to stop smoking and to avoid secondhand smoke should be provided to patients with STEMI.[13][14][15][16](Level of Evidence: A)"

Sources

  • The 2004 ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction [17]
  • The 2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction [2]
  • The AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services. [18]
  • 2013 Revised ACCF/AHA Guidelines for the Management of ST-Elevation Myocardial Infarction[3]

Cardiac Rehabilitation Centers

In Alphabetical Order

References

  1. Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M; et al. (2004). "ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction).". Circulation. 110 (5): 588–636. PMID 15289388. doi:10.1161/01.CIR.0000134791.68010.FA. 
  2. 2.0 2.1 Antman EM, Hand M, Armstrong PW; et al. (2008). "2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: developed in collaboration With the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 Writing Group to Review New Evidence and Update the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction, Writing on Behalf of the 2004 Writing Committee". Circulation. 117 (2): 296–329. PMID 18071078. doi:10.1161/CIRCULATIONAHA.107.188209.  Unknown parameter |month= ignored (help)
  3. 3.0 3.1 3.2 O'Gara PT, Kushner FG, Ascheim DD; et al. (2012). "2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: Executive Summary: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. PMID 23247303. doi:10.1161/CIR.0b013e3182742c84.  Unknown parameter |month= ignored (help)
  4. Naylor M, Brooten D, Jones R, Lavizzo-Mourey R, Mezey M, Pauly M (1994). "Comprehensive discharge planning for the hospitalized elderly. A randomized clinical trial". Ann. Intern. Med. 120 (12): 999–1006. PMID 8185149.  Unknown parameter |month= ignored (help)
  5. Coleman EA, Parry C, Chalmers S, Min SJ (2006). "The care transitions intervention: results of a randomized controlled trial". Arch. Intern. Med. 166 (17): 1822–8. PMID 17000937. doi:10.1001/archinte.166.17.1822.  Unknown parameter |month= ignored (help)
  6. Young W, Rewa G, Goodman SG; et al. (2003). "Evaluation of a community-based inner-city disease management program for postmyocardial infarction patients: a randomized controlled trial". CMAJ. 169 (9): 905–10. PMC 219623Freely accessible. PMID 14581307.  Unknown parameter |month= ignored (help)
  7. Jack BW, Chetty VK, Anthony D; et al. (2009). "A reengineered hospital discharge program to decrease rehospitalization: a randomized trial". Ann. Intern. Med. 150 (3): 178–87. PMC 2738592Freely accessible. PMID 19189907.  Unknown parameter |month= ignored (help)
  8. Lappé JM, Muhlestein JB, Lappé DL; et al. (2004). "Improvements in 1-year cardiovascular clinical outcomes associated with a hospital-based discharge medication program". Ann. Intern. Med. 141 (6): 446–53. PMID 15381518.  Unknown parameter |month= ignored (help)
  9. Leon AS, Franklin BA, Costa F; et al. (2005). "Cardiac rehabilitation and secondary prevention of coronary heart disease: an American Heart Association scientific statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American association of Cardiovascular and Pulmonary Rehabilitation". Circulation. 111 (3): 369–76. PMID 15668354. doi:10.1161/01.CIR.0000151788.08740.5C.  Unknown parameter |month= ignored (help)
  10. Suaya JA, Stason WB, Ades PA, Normand SL, Shepard DS (2009). "Cardiac rehabilitation and survival in older coronary patients". J. Am. Coll. Cardiol. 54 (1): 25–33. PMID 19555836. doi:10.1016/j.jacc.2009.01.078.  Unknown parameter |month= ignored (help)
  11. Taylor RS, Brown A, Ebrahim S; et al. (2004). "Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials". Am. J. Med. 116 (10): 682–92. PMID 15121495. doi:10.1016/j.amjmed.2004.01.009.  Unknown parameter |month= ignored (help)
  12. Goel K, Lennon RJ, Tilbury RT, Squires RW, Thomas RJ (2011). "Impact of cardiac rehabilitation on mortality and cardiovascular events after percutaneous coronary intervention in the community". Circulation. 123 (21): 2344–52. PMID 21576654. doi:10.1161/CIRCULATIONAHA.110.983536.  Unknown parameter |month= ignored (help)
  13. Wilson K, Gibson N, Willan A, Cook D (2000). "Effect of smoking cessation on mortality after myocardial infarction: meta-analysis of cohort studies". Arch. Intern. Med. 160 (7): 939–44. PMID 10761958.  Unknown parameter |month= ignored (help)
  14. Thomson CC, Rigotti NA (2003). "Hospital- and clinic-based smoking cessation interventions for smokers with cardiovascular disease". Prog Cardiovasc Dis. 45 (6): 459–79. PMID 12800128. doi:10.1053/pcad.2003.YPCAD15. 
  15. Dawood N, Vaccarino V, Reid KJ, Spertus JA, Hamid N, Parashar S (2008). "Predictors of smoking cessation after a myocardial infarction: the role of institutional smoking cessation programs in improving success". Arch. Intern. Med. 168 (18): 1961–7. PMID 18852396. doi:10.1001/archinte.168.18.1961.  Unknown parameter |month= ignored (help)
  16. Shah AM, Pfeffer MA, Hartley LH; et al. (2010). "Risk of all-cause mortality, recurrent myocardial infarction, and heart failure hospitalization associated with smoking status following myocardial infarction with left ventricular dysfunction". Am. J. Cardiol. 106 (7): 911–6. PMID 20854949. doi:10.1016/j.amjcard.2010.05.021.  Unknown parameter |month= ignored (help)
  17. Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, Hochman JS, Krumholz HM, Kushner FG, Lamas GA, Mullany CJ, Ornato JP, Pearle DL, Sloan MA, Smith SC, Alpert JS, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Gregoratos G, Halperin JL, Hiratzka LF, Hunt SA, Jacobs AK (2004). "ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of Patients with Acute Myocardial Infarction)". Circulation. 110 (9): e82–292. PMID 15339869.  Unknown parameter |month= ignored (help)
  18. Thomas RJ, King M, Lui K, Oldridge N, Piña IL, Spertus J (2007). "AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services". Circulation. 116 (14): 1611–42. PMID 17885210. doi:10.1161/CIRCULATIONAHA.107.185734.  Unknown parameter |month= ignored (help)

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